ClinicalTrials.gg
TerminatedNCT03631199CANOPY-1Updated Jun 17, 2026Results posted

Study of Efficacy and Safety of Pembrolizumab Plus Platinum-based Doublet Chemotherapy With or Without Canakinumab in Previously Untreated Locally Advanced or Metastatic Non-squamous and Squamous NSCLC Subjects

A Phase 3 interventional study of canakinumab and canakinumab-matching placebo in Non-small Cell Lung Cancer, sponsored by Novartis Pharmaceuticals. Terminated at 152 sites in 41 countries. Open to participants aged 18 Years to 100 Years. Per ClinicalTrials.gov, last updated 2026-06-17.

Sponsored by Novartis Pharmaceuticals (part of Novartis) · Phase 3, Interventional, and Treatment

Why this study was terminated
Results of primary analysis showed addition of canakinumab to combination treatment did not improve tumor response or overall survival; the decision to stop the trial was not due to safety concerns

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Phase
Phase 3
Study type
Interventional
Enrollment
673
Allocation
Randomized
Ages
18 Years to 100 Years
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-14

Among 102 studies in Carcinoma, Non-Small-Cell Lung by Novartis — 8 open to participants now, 15 under way, none of them phase 3. Carcinoma, Non-Small-Cell Lung · Novartis.

Enrollment
4th of 93
673 · median 93
Started
2018
with 9 others
Phase 3
16 of 102
none open now
Registered
64th of 102
by date

Among the 102 studies in Carcinoma, Non-Small-Cell Lung by Novartis, this one is the 4th largest by enrollment of the 93 interventional ones that give a count, is one of 10 that started in 2018, is one of 16 in phase 3, and was the 64th registered.

Carcinoma, Non-Small-Cell Lung

7,624 studies on the registry are indexed under Carcinoma, Non-Small-Cell Lung; 1,837 are open to participants now.

Browse Carcinoma, Non-Small-Cell Lung studies →

Open to participants now

8 of the 102 studies in Carcinoma, Non-Small-Cell Lung by Novartis are open now, in 12 countries. Recruiting first, the newest first:

3 more — sign in →

By country, each count listing its studies:

All 8 open studies →

Who these studies take

Of the 1,326 Carcinoma, Non-Small-Cell Lung studies recruiting now, 988 (75%) set no upper age limit and 225 (17%) stop at 75 or younger; 34 take children under 18; 40 take healthy volunteers.

This study: 18 Years to 100 Years · all sexes · no healthy volunteers.

The full table on the hub →

This tab as a report to print or save as PDF → With an account.

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Watch this landscapeDownload CSVNarrow it in search →With an account: a weekly mail of what changed among 102 studies in Carcinoma, Non-Small-Cell Lung by Novartis, or all of them as a file.
02

Study summary

This was a Phase III study of pembrolizumab plus platinum-based doublet chemotherapy with or without canakinumab in previously untreated locally advanced or metastatic non-squamous and squamous NSCLC participants.

Read the detailed description

The study primarily assessed the safety and tolerability (safety run-in Part A) of pembrolizumab plus platinum-based doublet chemotherapy with canakinumab, and then, the efficacy (double-blind, randomized, placebo-controlled Part B) of pembrolizumab plus platinum-based doublet chemotherapy with or without canakinumab.

03

Conditions studied

  • Non-small Cell Lung Cancer

Keywords

  • ACZ885
  • canakinumab
  • pembrolizumab
  • carboplatin
  • cisplatin
  • paclitaxel
  • nab-paclitaxel
  • pemetrexed
  • NSCLC
  • non-small cell lung cancer
  • non small cell lung cancer
  • squamous
  • non-squamous
  • hsCRP
  • IL-1β
  • PD-L1
  • CANOPY
  • CANOPY-1
  • platinum-based doublet chemotherapy
  • first line therapy
  • locally advanced
  • metastatic
04

Who can participate

Ages eligible
18 Years to 100 Years
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Key inclusion criteria:

  • confirmed locally advanced stage IIIB or stage IV NSCLC for treatment in the setting
  • Known status determined by a Novartis designated central laboratory. A newly obtained tissue or an archival biopsy (block or slides) is required for PD-L1 determination (PD-L1 IHC 22C3 pharmDx assay), prior to study randomization. Note: For the safety run-in part, known PD-L1 status is not required.
  • (ECOG) performance status of 0 or 1.
  • At least 1 by 1.1

Key exclusion criteria:

  • Previous immunotherapy (e.g. anti-PD-1, anti-PD-L1, anti-PD-L2, anti-CTLA-4 antibody, or any other antibody or drug specifically targeting T-cell co-stimulation or immune checkpoint pathways).
  • Prior treatment with canakinumab or drugs of a similar mechanism of action (IL-1β inhibitor).
  • Subjects with epidermal growth factor receptor (EGFR) sensitizing mutations (identified in exons 19, 20, or 21), and/or ALK rearrangement by locally approved laboratory testing.
  • Previously untreated or symptomatic central nervous system (CNS) or lepto-meningeal disease.
  • Subject with suspected or proven immune-compromised state or infections.
  • Subject has prior to starting study drug: received ≤3 months, had major surgery ≤4 weeks prior to starting study drug, has thoracic radiotherapy: lung fields ≤ 4 weeks, other anatomic sites ≤ 2 weeks, palliative radiotherapy for bone lesions ≤ 2 weeks.
Terms in these criteria, in plain language(9)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Histologically or cytologically confirmed

The diagnosis was confirmed by looking at a sample under a microscope: tissue from a biopsy or surgery (histology), or cells from a fluid or needle sample (cytology).

Your pathology report is the document that shows this.

Line of therapy

A line of therapy is one course of treatment, which may combine several drugs. First-line is the first course given; second-line follows when that stops working or is not tolerated.

“Two prior lines” means two courses that count separately under the study’s rules — not simply two drugs. Ask the study team if you are unsure how yours are counted.

PD-1, PD-L1 and checkpoint inhibitors

PD-1, PD-L1 and CTLA-4 are proteins that act as brakes on the immune system. Checkpoint inhibitors, such as pembrolizumab or nivolumab, block them so the immune system can attack a cancer.

PD-L1 can also be measured in a tumour sample. Some scores count stained tumour cells only (TPS); others also count certain immune cells (CPS). The study names the score and the minimum it uses.

Biopsy and archival tissue

A biopsy takes a small piece of tissue to examine. “Archival tissue” is a sample already taken, for example at diagnosis, and kept by the hospital.

Whether a stored sample will do depends on when it was taken, how much there is and what the study needs. Ask whether the study accepts your stored sample or needs a new biopsy.

ECOG performance status

A scale of how much an illness limits everyday activity. For people being assessed to join a study, scores run from 0 (fully active) to 4; lower is more active.

0
Fully active, no restrictions.
1
Limited in strenuous activity, but walking and able to do light work, such as housework or office work.
2
Walking and able to look after yourself, but unable to work; up and about more than half of waking hours.
3
Able to look after yourself only in part; in bed or a chair more than half of waking hours.
4
Unable to look after yourself at all; in bed or a chair all day.

Studies most often ask for 0–1 or 0–2. Your doctor gives the score; the WHO scale uses the same steps. The full scale also has 5, which records death.

Measurable disease

The amount of disease can be tracked with a defined measurement, so the study can see whether it shrinks or grows. It might be a tumour measured on a scan or, in some blood cancers such as myeloma, a marker measured in blood or urine.

The criteria or the study team say which measurement counts — having no tumour visible on a scan does not by itself rule you out.

RECIST

The standard rules for measuring tumours on CT or MRI scans, to tell whether a cancer is shrinking, stable or growing during treatment.

“Measurable disease per RECIST 1.1” usually means at least one tumour 10 mm or more at its longest on a CT scan, or a lymph node 15 mm or more across its short axis.

Metastases

Cancer that has spread from where it began to other parts of the body. “Metastatic” cancer is cancer that has spread this way.

Live vaccines

Vaccines made with a weakened form of the germ, such as measles–mumps–rubella (MMR), chickenpox and yellow fever. They can be risky when the immune system is weakened. Flu injections are not live; the nasal flu spray is.

05

Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Quadruple (Participant, Care provider, Investigator, Outcomes assessor)
Enrollment
673 participants (actual)

Study arms

  • Experimental
    Part 1: Cohort A

    Safety run-in, canakinumab in combination with pembrolizumab, carboplatin, and pemetrexed.

    Drug: canakinumab · Drug: pembrolizumab · Drug: carboplatin · Drug: pemetrexed

  • Experimental
    Part 1: Cohort B

    Safety run-in, canakinumab in combination with pembrolizumab, cisplatin, and pemetrexed.

    Drug: canakinumab · Drug: pembrolizumab · Drug: cisplatin · Drug: pemetrexed

  • Experimental
    Part 1: Cohort C

    Safety run-in, canakinumab in combination with pembrolizumab, carboplatin, and paclitaxel.

    Drug: canakinumab · Drug: pembrolizumab · Drug: carboplatin · Drug: paclitaxel

  • Experimental
    Part 2: Canakinumab+pembro+CTx

    Double-blind, randomized, placebo-controlled, canakinumab in combination with pembrolizumab and platinum-based doublet chemotherapy.

    Drug: canakinumab · Drug: pembrolizumab · Drug: carboplatin · Drug: cisplatin · Drug: paclitaxel · Drug: nab-paclitaxel · Drug: pemetrexed

  • Other
    Part 2: Placebo+pembro+CTx

    Double-blind, randomized, placebo-controlled, canakinumab-matching placebo in combination with pembrolizumab and platinum-based doublet chemotherapy.

    Drug: canakinumab-matching placebo · Drug: pembrolizumab · Drug: carboplatin · Drug: cisplatin · Drug: paclitaxel · Drug: nab-paclitaxel · Drug: pemetrexed

Interventions

  • canakinumab 200 mg subcutaneous (s.c.) injection every 3 weeks (squamous and non-squamous)

    Also known as: ACZ885

  • Drugcanakinumab-matching placebo

    canakinumab placebo every 3 weeks (squamous and non-squamous)

  • 200 mg every 3 weeks (squamous and non-squamous)

  • Area Under the Curve (AUC) 5 mg/mL\*min every 3 weeks (non-squamous) or AUC 6 mg/mL\*min (squamous)

  • 75 mg/m\^2 every 3 weeks (non-squamous)

  • 200 mg/m\^2 every 3 weeks (squamous)

  • 100 mg/m\^2 on Days 1, 8, and 15 of every cycle (squamous)

  • 500 mg/m\^2 every 3 weeks (non-squamous)

06

What researchers measure

Primary outcomes

  1. Part 1 (Safety Run-in): Number of Participants With Dose-limiting Toxicities (DLTs)

    A DLT was defined as an adverse event or abnormal laboratory value assessed as unrelated to disease progression, inter-current illness, or concomitant medications that met certain criteria as defined in the protocol.

    Time frame: During the first 42 days of dosing

  2. Part 2 (Double-blind, Randomized, Placebo-controlled): Progression-free Survival (PFS) Per Investigator Assessment Using RECIST v1.1

    Progression free survival was defined as the time from randomization to the date of the first documented radiological progression using RECIST 1.1 (Response evaluation criteria in solid tumor) or death due to any cause.

    Time frame: 18 months

  3. Part 2 (Double-blind, Randomized, Placebo-controlled): Overall Survival (OS) Per Investigator Assessment Using RECIST v1.1

    Overall survival is defined as the time from date of randomization to date of death due to any cause.

    Time frame: Up to approximately 32 months

Secondary outcomes

  1. Part 1 (Safety Run-in): Overall Response Rate (ORR) Per Investigator Assessment Using RECIST v1.1

    ORR was defined as the percentage of participants with confirmed best overall response of complete response (CR) or partial response (PR), as per investigator's assessment by RECIST 1.1. CR=Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm; PR= At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters.

    Time frame: Up to approximately 14 months

  2. Part 2 (Double-blind, Randomized, Placebo-controlled): Overall Response Rate (ORR) Per Investigator Assessment Using RECIST v1.1

    ORR was defined as the percentage of participants with confirmed best overall response of complete response (CR) or partial response (PR), as per investigator's assessment by RECIST 1.1. CR=Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm; PR= At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters.

    Time frame: Up to approximately 26 months

  3. Part 1 (Safety run-in): Disease Control Rate (DCR) Per Investigator Assessment Using RECIST v1.1

    Disease control rate was defined as the percentage of participants with complete response (CR) or partial response (PR) or participants with stable disease (SD) as per investigator assessment according to RECIST 1.1 criteria. CR=Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm; PR= At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters; SD=Neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for progressive disease.

    Time frame: Up to approximately 14 months

  4. Part 2 (Double-blind, Randomized, Placebo-controlled): Disease Control Rate (DCR) Per Investigator Assessment Using RECIST v1.1

    Disease control rate was defined as the percentage of participants with complete response (CR) or partial response (PR) or participants with stable disease (SD) as per investigator assessment according to RECIST 1.1 criteria. CR=Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm; PR= At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters; SD=Neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for progressive disease.

    Time frame: Up to approximately 26 months

  5. Part 1 (Safety run-in): Duration of Response (DOR) Per Investigator Assessment Using RECIST v1.1

    Duration of response was defined as the time from first documented response of CR or PR to date of first documented progression or death due to any cause, according to RECIST 1.1 criteria. DOR only applied to participants whose best overall response was CR or PR based on tumor response data per local review. If a participant did not have an event, DOR was censored at the date of last adequate tumor assessment. CR=Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm; PR= At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters.

    Time frame: Up to approximately 25 months

  6. Part 2 (Double-blind, Randomized, Placebo-controlled): Duration of Response (DOR) Per Investigator Assessment Using RECIST v1.1

    Duration of response was defined as the time from first documented response of CR or PR to date of first documented progression or death due to any cause, according to RECIST 1.1 criteria. DOR only applied to participants whose best overall response was CR or PR based on tumor response data per local review. If a participant did not have an event, DOR was censored at the date of last adequate tumor assessment. CR=Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm; PR= At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters.

    Time frame: Up to approximately 26 months

  7. Part 2 (Double-blind, Randomized, Placebo-controlled): Time to Response (TTR) Per Investigator Assessment Using RECIST v1.1

    Time to response (TTR) was defined as duration of time between the date of randomization and the date of first documented response of either CR or PR, according to RECIST 1.1 criteria. Duration of response was defined as the time from first documented response of CR or PR to date of first documented progression or death due to any cause, according to RECIST 1.1 criteria. CR=Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm; PR= At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters.

    Time frame: Up to approximately 26 months

  8. Part 1 (Safety Run-in): Antidrug Antibodies (ADA) of Canakinumab

    Participants with at least one ADA-positive sample.

    Time frame: Predose (0 hours (h)) on Day 1 of Cycles 1, 4, 8, 12, 16 (Cycle length =21 days), at end of treatment & then at 26, 78 and 130 days after last dose

  9. Part 2 (Double-blind, Randomized, Placebo-controlled): Number of Participants With Antidrug Antibodies (ADA) of Canakinumab

    Participants with at least one ADA-positive sample.

    Time frame: Up to approximately 26 months

  10. Part 1 (Safety run-in): Antidrug Antibodies (ADAs) of Pembrolizumab

    Participants with at least one ADA-positive sample.

    Time frame: Predose (0 h) on Day 1 of Cycles 1, 2, 4, 8, 12, 16 (Cycle length =21 days), at end of treatment & then at 26 days after last dose

  11. Part 2 (Double-blind, Randomized, Placebo-controlled): Antidrug Antibodies (ADA) of Pembrolizumab

    Participants with at least one ADA-positive sample.

    Time frame: Up to approximately 26 months

  12. Part 1 (Safety Run-in): Serum Canakinumab Concentration

    Time frame: Predose (0 h) on Day 1 of Cycles 1-6, 8, 12, 16, Postdose on day 2, 8, 15 of Cycle 1, Post dose on Cycle 5 day 8, at end of treatment & then at 26, 78 and 130 days after last dose (Cycle length =21 days)

  13. Part 2 (Double-blind, Randomized, Placebo-controlled): Serum Canakinumab Concentration

    Time frame: Predose (0 h) on Day 1 of Cycles 1-6, 8, 12, 16, Postdose on day 2, 8, 15 of Cycle 1, Post dose on Cycle 5 day 8, at end of treatment & then at 26, 78 and 130 days after last dose (Cycle length =21 days)

  14. Part 1 (Safety Run-in): Serum Pembrolizumab Concentration

    Time frame: Predose (0 h) on Day 1 of Cycles 1-6, 8, 12, 16, Postdose on day 2, 8, 15 of Cycle 1, at end of treatment & then at 26 days after last dose (Cycle length =21 days)

  15. Part 2 (Double-blind, Randomized, Placebo-controlled): Serum Pembrolizumab Concentration

    Time frame: Predose (0 h) on Day 1 of Cycles 1-6, 8, 12, 16, Postdose on day 2, 8, 15 of Cycle 1, at end of treatment & then at 26 days after last dose (Cycle length =21 days)

  16. Part 1 (Safety Run-in): Plasma Pemetrexed Concentration

    Time frame: Predose (0 h) and end of infusion on Cycle 1 and 2; 1, 4, 8 h post infusion on Cycle 1; 1, 2, 4, 8h post infusion on Cycle 2 (Cycle length =21 days)

  17. Part 2 (Double-blind, Randomized, Placebo-controlled): Plasma Pemetrexed Concentration

    Time frame: Predose (0 h) and end of infusion on Cycle 1 and 2; 1, 4, 8 h post infusion on Cycle 1; 1, 2, 4, 8h post infusion on Cycle 2 (Cycle length =21 days)

  18. Part 1 (Safety Run-in): Plasma Cisplatin Concentration

    Time frame: Predose (0 h) and end of infusion on Cycle 1 and 2; 2, 4, 8 h post infusion on Cycle 1; 1.5, 2, 4, 8 h post infusion on Cycle 2 (Cycle length =21 days)

  19. Part 2 (Double-blind, Randomized, Placebo-controlled): Plasma Cisplatin Concentration

    Time frame: Predose (0 h) and end of infusion on Cycle 1 and 2; 2, 4, 8 h post infusion on Cycle 1; 1.5, 2, 4, 8 h post infusion on Cycle 2 (Cycle length = 21 days)

  20. Part 1 (Safety Run-in): Plasma Carboplatin Concentration

    Time frame: Predose (0 h), end of infusion, 1, 2, 4, 8 h post infusion on Cycles 1 and 2 (Cycle length =21 days)

  21. Part 2 (Double-blind, Randomized, Placebo-controlled): Plasma Carboplatin Concentration

    Time frame: Predose (0 h), end of infusion, 1, 2, 4, 8 h post infusion on Cycles 1 and 2 (Cycle length =21 days)

  22. Part 1 (Safety Run-in): Plasma Paclitaxel Concentration

    Time frame: Predose (0 h) and end of infusion on Cycle 1 and 2; 4, 8, 12 h post infusion on Cycle 1; 4, 6, 8, 12 h post infusion on Cycle 2 (Cycle length =21 days)

  23. Part 2 (Double-blind, Randomized, Placebo-controlled): Plasma Paclitaxel Concentration

    Time frame: Predose (0 h) and end of infusion on Cycle 1 and 2; 4, 8, 12 h post infusion on Cycle 1; 4, 6, 8, 12 h post infusion on Cycle 2 (Cycle length =21 days)

  24. Part 2 (Double-blind, Randomized, Placebo-controlled): Plasma Nab-paclitaxel Concentration

    Time frame: Predose (0 h) and end of infusion on Cy 1 and 2, 4, 8, 12 h post infusion on Cy 1, 4, 6, 8, 12 h post infusion on Cy 2 (Cy length =21 days)

  25. Part 2 (Double-blind, Randomized, Placebo-controlled): Time to Definitive 10-point Deterioration (TTDD) Symptom Scores of Pain, Cough and Dyspnea Per EORTC QLQ-LC13 Questionnaire

    The European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Lung Cancer 13 (EORTC QLQ-LC13) comprises both multi-item and single-item measures of lung cancer-associated symptoms (ie, coughing, dyspnea, and chest pain). Scores for each scale and single-item range from 0 to 100, with higher scores indicating higher level of symptoms. TTDD for chest pain, cough and dyspnea was defined as the time from randomization to the date of event, which was defined as at least 10 points absolute worsening from baseline of the corresponding scale score, with no later change below this threshold ie.\<10 points was observed, or if this worsening was observed at the last assessment for the subject, or death due to any cause (whichever occurred earlier). If a subject did not have an event, TTDD was censored at the last adequate assessment.

    Time frame: Up to approximately 25 months

  26. Part 2 (Double-blind, Randomized, Placebo-controlled): Time to Definitive Deterioration in Global Health Status/Quality of Life, Shortness of Breath and Pain Per EORTC QLQ-C30 Questionnaire

    The European Organization for Research and Treatment of Cancer quality of life (EORTC QLQ-C30) is a questionnaire developed to assess the health-related quality of life of cancer participants. It assesses 15 domains consisting of 5 functional domains (physical, role, emotional, cognitive, social) and 9 symptom domains (fatigue, nausea and vomiting, pain, dyspnea, insomnia, appetite loss, constipation, diarrhea, financial difficulties) and a global health status/QoL scale. All domain scores range from 0 to 100. A high score for the functional or global health status scales indicates a high level of functioning or QoL; a high score for a symptom scale indicates a high level of symptoms.

    Time frame: Up to approximately 25 months

  27. Part 2 (Double-blind, Randomized, Placebo-controlled): Change From Baseline in Score as Per the EuroQol 5 Dimension 5 Level (EQ-5D-5L) Questionnaire

    The EQ-5D-5L questionnaire is a standardized measure of health status developed by the EuroQol Group in order to provide a simple, generic measure of health for clinical and economic appraisal. The EQ-5D-5L measures 5 items on mobility, self-care, usual activities, pain/discomfort, anxiety/depression, measured on 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. A utility index can be computed from the EQ 5D-5L descriptive system with utility scores ranging from -0.281 (worst imaginable health state) to 1 (best imaginable health state), with -0.281 representing an "unconscious" health state. A single index value is analyzed for the EQ-5D-5L score. An increase from baseline in the EQ-ED-5L utility index is indicative of an improvement.). CFB = change from baseline

    Time frame: Assessed every 3 weeks from Week 3 through Week 108, at follow-up visits 1, 2, 3, 4, and 5 (follow-up visits occurred every 26 days from week 108), and at 7 and 28 days post-disease progression, all up to a maximum of 3.5 years

  28. Part 2 (Double-blind, Randomized, Placebo-controlled): Change From Baseline in Score as Per the EuroQol 5 Dimension 5 Level (EQ-5D-5L) Questionnaire - Visual Analog Scale (VAS)

    The EQ-5D-5L is a standardized questionnaire used to assess health-related quality of life, and it includes a Visual Analog Scale (VAS). The VAS score is obtained by asking the individual to rate their current health status on a scale from 0 to 100, where 0 represents the worst possible health state and 100 represents the best possible health state. The change from baseline in EQ-5D-5L VAS score was calculated. A positive change from baseline indicates improvement in the health status. CFB = change from baseline

    Time frame: Assessed every 3 weeks from Week 3 through Week 108, at follow-up visits 1, 2, 3, 4, and 5 (follow-up visits occurred every 26 days from week 108), and at 7 and 28 days post-disease progression, all up to a maximum of 3.5 years

07

Results

Posted Oct 8, 2024

Participant flow

Participant flow — Overall Study
MilestonePart 1: Cohort APart 1: Cohort BPart 1: Cohort CPart 2: Canakinumab+Pembro+CTxPart 2: Placebo+Pembro+CTx
Started10119320323
Completed00000
Not completed10119320323
Withdrew: Progressive disease955149148
Withdrew: Physician decision0231913
Withdrew: Adverse event1102829
Withdrew: Death0103548
Withdrew: Subject decision0101212
Withdrew: No treated00001
Withdrew: Treatment ongoing0117671
Withdrew: Guardian decision00011

Outcome measures

PrimaryPart 1 (Safety Run-in): Number of Participants With Dose-limiting Toxicities (DLTs)

A DLT was defined as an adverse event or abnormal laboratory value assessed as unrelated to disease progression, inter-current illness, or concomitant medications that met certain criteria as defined in the protocol.

Time frame:
During the first 42 days of dosing
Reported as:
Count of participants · Participants
Part 1 (Safety Run-in): Number of Participants With Dose-limiting Toxicities (DLTs)
ParticipantsPart 1: Cohort APart 1: Cohort BPart 1: Cohort C
Part 1 (Safety Run-in): Number of Participants With Dose-limiting Toxicities (DLTs)001
PrimaryPart 2 (Double-blind, Randomized, Placebo-controlled): Progression-free Survival (PFS) Per Investigator Assessment Using RECIST v1.1

Progression free survival was defined as the time from randomization to the date of the first documented radiological progression using RECIST 1.1 (Response evaluation criteria in solid tumor) or death due to any cause.

Time frame:
18 months
Reported as:
Median · months
Part 2 (Double-blind, Randomized, Placebo-controlled): Progression-free Survival (PFS) Per Investigator Assessment Using RECIST v1.1
monthsPart 2: Canakinumab+Pembro+CTxPart 2: Placebo+Pembro+CTx
Part 2 (Double-blind, Randomized, Placebo-controlled): Progression-free Survival (PFS) Per Investigator Assessment Using RECIST v1.16.77 (5.62 to 7.75)6.77 (5.52 to 6.93)
PrimaryPart 2 (Double-blind, Randomized, Placebo-controlled): Overall Survival (OS) Per Investigator Assessment Using RECIST v1.1

Overall survival is defined as the time from date of randomization to date of death due to any cause.

Time frame:
Up to approximately 32 months
Reported as:
Median · months
Part 2 (Double-blind, Randomized, Placebo-controlled): Overall Survival (OS) Per Investigator Assessment Using RECIST v1.1
monthsPart 2: Canakinumab+Pembro+CTxPart 2: Placebo+Pembro+CTx
Part 2 (Double-blind, Randomized, Placebo-controlled): Overall Survival (OS) Per Investigator Assessment Using RECIST v1.120.83 (16.26 to NA)20.17 (16.23 to 22.37)
SecondaryPart 1 (Safety Run-in): Overall Response Rate (ORR) Per Investigator Assessment Using RECIST v1.1

ORR was defined as the percentage of participants with confirmed best overall response of complete response (CR) or partial response (PR), as per investigator's assessment by RECIST 1.1. CR=Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm; PR= At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters.

Time frame:
Up to approximately 14 months
Reported as:
Number · percentage of participants
Part 1 (Safety Run-in): Overall Response Rate (ORR) Per Investigator Assessment Using RECIST v1.1
percentage of participantsPart 1: Cohort APart 1: Cohort BPart 1: Cohort C
Part 1 (Safety Run-in): Overall Response Rate (ORR) Per Investigator Assessment Using RECIST v1.120.0 (2.5 to 55.6)72.7 (39.0 to 94.0)44.4 (13.7 to 78.8)
SecondaryPart 2 (Double-blind, Randomized, Placebo-controlled): Overall Response Rate (ORR) Per Investigator Assessment Using RECIST v1.1

ORR was defined as the percentage of participants with confirmed best overall response of complete response (CR) or partial response (PR), as per investigator's assessment by RECIST 1.1. CR=Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm; PR= At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters.

Time frame:
Up to approximately 26 months
Reported as:
Number · percentage of participants
Part 2 (Double-blind, Randomized, Placebo-controlled): Overall Response Rate (ORR) Per Investigator Assessment Using RECIST v1.1
percentage of participantsPart 2: Canakinumab+Pembro+CTxPart 2: Placebo+Pembro+CTx
Part 2 (Double-blind, Randomized, Placebo-controlled): Overall Response Rate (ORR) Per Investigator Assessment Using RECIST v1.145.6 (40.1 to 51.3)45.5 (40.0 to 51.1)
SecondaryPart 1 (Safety run-in): Disease Control Rate (DCR) Per Investigator Assessment Using RECIST v1.1

Disease control rate was defined as the percentage of participants with complete response (CR) or partial response (PR) or participants with stable disease (SD) as per investigator assessment according to RECIST 1.1 criteria. CR=Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm; PR= At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters; SD=Neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for progressive disease.

Time frame:
Up to approximately 14 months
Reported as:
Number · percentage of participants
Part 1 (Safety run-in): Disease Control Rate (DCR) Per Investigator Assessment Using RECIST v1.1
percentage of participantsPart 1: Cohort APart 1: Cohort BPart 1: Cohort C
Part 1 (Safety run-in): Disease Control Rate (DCR) Per Investigator Assessment Using RECIST v1.170.0 (34.8 to 93.3)81.8 (48.2 to 97.7)77.8 (40.0 to 97.2)
SecondaryPart 2 (Double-blind, Randomized, Placebo-controlled): Disease Control Rate (DCR) Per Investigator Assessment Using RECIST v1.1

Disease control rate was defined as the percentage of participants with complete response (CR) or partial response (PR) or participants with stable disease (SD) as per investigator assessment according to RECIST 1.1 criteria. CR=Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm; PR= At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters; SD=Neither sufficient shrinkage to qualify for PR or CR nor an increase in lesions which would qualify for progressive disease.

Time frame:
Up to approximately 26 months
Reported as:
Number · percentage of participants
Part 2 (Double-blind, Randomized, Placebo-controlled): Disease Control Rate (DCR) Per Investigator Assessment Using RECIST v1.1
percentage of participantsPart 2: Canakinumab+Pembro+CTxPart 2: Placebo+Pembro+CTx
Part 2 (Double-blind, Randomized, Placebo-controlled): Disease Control Rate (DCR) Per Investigator Assessment Using RECIST v1.186.9 (82.7 to 90.4)84.8 (80.4 to 88.6)
SecondaryPart 1 (Safety run-in): Duration of Response (DOR) Per Investigator Assessment Using RECIST v1.1

Duration of response was defined as the time from first documented response of CR or PR to date of first documented progression or death due to any cause, according to RECIST 1.1 criteria. DOR only applied to participants whose best overall response was CR or PR based on tumor response data per local review. If a participant did not have an event, DOR was censored at the date of last adequate tumor assessment. CR=Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm; PR= At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters.

Time frame:
Up to approximately 25 months
Reported as:
Median · months
Part 1 (Safety run-in): Duration of Response (DOR) Per Investigator Assessment Using RECIST v1.1
monthsPart 1: Cohort APart 1: Cohort BPart 1: Cohort C
Part 1 (Safety run-in): Duration of Response (DOR) Per Investigator Assessment Using RECIST v1.17.43 (4.93 to NA)18.50 (6.34 to NA)8.15 (5.55 to NA)
SecondaryPart 2 (Double-blind, Randomized, Placebo-controlled): Duration of Response (DOR) Per Investigator Assessment Using RECIST v1.1

Duration of response was defined as the time from first documented response of CR or PR to date of first documented progression or death due to any cause, according to RECIST 1.1 criteria. DOR only applied to participants whose best overall response was CR or PR based on tumor response data per local review. If a participant did not have an event, DOR was censored at the date of last adequate tumor assessment. CR=Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm; PR= At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters.

Time frame:
Up to approximately 26 months
Reported as:
Median · months
Part 2 (Double-blind, Randomized, Placebo-controlled): Duration of Response (DOR) Per Investigator Assessment Using RECIST v1.1
monthsPart 2: Canakinumab+Pembro+CTxPart 2: Placebo+Pembro+CTx
Part 2 (Double-blind, Randomized, Placebo-controlled): Duration of Response (DOR) Per Investigator Assessment Using RECIST v1.114.26 (10.41 to NA)13.60 (10.32 to NA)
SecondaryPart 2 (Double-blind, Randomized, Placebo-controlled): Time to Response (TTR) Per Investigator Assessment Using RECIST v1.1

Time to response (TTR) was defined as duration of time between the date of randomization and the date of first documented response of either CR or PR, according to RECIST 1.1 criteria. Duration of response was defined as the time from first documented response of CR or PR to date of first documented progression or death due to any cause, according to RECIST 1.1 criteria. CR=Disappearance of all non-nodal target lesions. In addition, any pathological lymph nodes assigned as target lesions must have a reduction in short axis to \< 10 mm; PR= At least a 30% decrease in the sum of diameter of all target lesions, taking as reference the baseline sum of diameters.

Time frame:
Up to approximately 26 months
Reported as:
Median · months
Part 2 (Double-blind, Randomized, Placebo-controlled): Time to Response (TTR) Per Investigator Assessment Using RECIST v1.1
monthsPart 2: Canakinumab+Pembro+CTxPart 2: Placebo+Pembro+CTx
Part 2 (Double-blind, Randomized, Placebo-controlled): Time to Response (TTR) Per Investigator Assessment Using RECIST v1.1NA (8.94 to NA)NA (4.99 to NA)
SecondaryPart 1 (Safety Run-in): Antidrug Antibodies (ADA) of Canakinumab

Participants with at least one ADA-positive sample.

Time frame:
Predose (0 hours (h)) on Day 1 of Cycles 1, 4, 8, 12, 16 (Cycle length =21 days), at end of treatment & then at 26, 78 and 130 days after last dose

Results for this outcome have not been posted.

SecondaryPart 2 (Double-blind, Randomized, Placebo-controlled): Number of Participants With Antidrug Antibodies (ADA) of Canakinumab

Participants with at least one ADA-positive sample.

Time frame:
Up to approximately 26 months
Reported as:
Count of participants · Participants
Part 2 (Double-blind, Randomized, Placebo-controlled): Number of Participants With Antidrug Antibodies (ADA) of Canakinumab
ParticipantsPart 2: Canakinumab+Pembro+CTx
Baseline3
On treatment2
SecondaryPart 1 (Safety run-in): Antidrug Antibodies (ADAs) of Pembrolizumab

Participants with at least one ADA-positive sample.

Time frame:
Predose (0 h) on Day 1 of Cycles 1, 2, 4, 8, 12, 16 (Cycle length =21 days), at end of treatment & then at 26 days after last dose

Results for this outcome have not been posted.

SecondaryPart 2 (Double-blind, Randomized, Placebo-controlled): Antidrug Antibodies (ADA) of Pembrolizumab

Participants with at least one ADA-positive sample.

Time frame:
Up to approximately 26 months
Reported as:
Count of participants · Participants
Part 2 (Double-blind, Randomized, Placebo-controlled): Antidrug Antibodies (ADA) of Pembrolizumab
ParticipantsPart 2: Canakinumab+Pembro+CTxPart 2: Placebo+Pembro+CTx
Baseline21
On treatment72
SecondaryPart 1 (Safety Run-in): Serum Canakinumab Concentration
Time frame:
Predose (0 h) on Day 1 of Cycles 1-6, 8, 12, 16, Postdose on day 2, 8, 15 of Cycle 1, Post dose on Cycle 5 day 8, at end of treatment & then at 26, 78 and 130 days after last dose (Cycle length =21 days)
Reported as:
Geometric mean · μg/mL
Part 1 (Safety Run-in): Serum Canakinumab Concentration
μg/mLPart 1: Cohort APart 1: Cohort BPart 1: Cohort C
Cycle 1, Day 1, 0 hour n=9,11,90 ± 00 ± 00 ± 0
Cycle 1, Day 1, 24 hour n=8,11,94.43 ± 72.14.97 ± 113.54.57 ± 67.1
Cycle 1, Day 1, 168 hour n=9,11,912.1 ± 44.514.0 ± 61.712.8 ± 33.2
Cycle 1, Day 1, 336 hour n=8,10,811.1 ± 35.012.3 ± 55.210.9 ± 35.9
Cycle 2, Day 1, 0 hour n=9,9,710.2 ± 33.68.80 ± 49.48.69 ± 34.5
Cycle 3, Day 1, 0 hour n=7,9,816.9 ± 31.320.3 ± 40.317.1 ± 16.4
Cycle 4, Day 1, 0 hour n=8,8,623.1 ± 29.026.6 ± 35.019.4 ± 29.2
Cycle 5, Day 1, 0 hour n=4,7,626.9 ± 41.835.6 ± 47.622.4 ± 39.0
Cycle 5, Day 1, 168 hour n=5,9,432.1 ± 33.149.8 ± 42.532.7 ± 22.7
Cycle 6, Day 1, 0 hour n=3,7,632.2 ± 40.036.8 ± 47.826.3 ± 27.4
Cycle 8, Day 1, 0 hour n=3,7,437.7 ± 27.545.8 ± 38.629.9 ± 29.6
Cycle 12, Day 1, 0 hour n=2,6,440.6 ± 90.452.2 ± 42.932.4 ± 41.0
Cycle 16, Day 1, 0 hour n=1,5,468.2 ± 041.8 ± 67.331.0 ± 35.0
SecondaryPart 2 (Double-blind, Randomized, Placebo-controlled): Serum Canakinumab Concentration
Time frame:
Predose (0 h) on Day 1 of Cycles 1-6, 8, 12, 16, Postdose on day 2, 8, 15 of Cycle 1, Post dose on Cycle 5 day 8, at end of treatment & then at 26, 78 and 130 days after last dose (Cycle length =21 days)
Reported as:
Geometric mean · μg/mL
Part 2 (Double-blind, Randomized, Placebo-controlled): Serum Canakinumab Concentration
μg/mLPart 2: Canakinumab+Pembro+CTx
Cycle 1, Day 1, 0 hour n=2910 ± 0
Cycle 1, Day 1, 24 hour n=2635.36 ± 99.3
Cycle 1, Day 1, 168 hour n=27112.3 ± 52.1
Cycle 1, Day 1, 336 hour n=27210.8 ± 47.2
Cycle 2, Day 1, 0 hour n=2288.82 ± 46.8
Cycle 3, Day 1, 0 hour n=18115.2 ± 40.1
Cycle 4, Day 1, 0 hour n=16618.6 ± 44.4
Cycle 5, Day 1, 0 hour n=15422.5 ± 42.9
Cycle 5, Day 1, 168 hour n=17433.8 ± 42.2
Cycle 6, Day 1, 0 hour n=18125.0 ± 47.5
Cycle 8, Day 1, 0 hour n=14429.0 ± 46.9
Cycle 12, Day 1, 0 hour n=12432.3 ± 49.8
Cycle 16, Day 1, 0 hour n=9133.0 ± 49.0
SecondaryPart 1 (Safety Run-in): Serum Pembrolizumab Concentration
Time frame:
Predose (0 h) on Day 1 of Cycles 1-6, 8, 12, 16, Postdose on day 2, 8, 15 of Cycle 1, at end of treatment & then at 26 days after last dose (Cycle length =21 days)
Reported as:
Geometric mean · μg/mL
Part 1 (Safety Run-in): Serum Pembrolizumab Concentration
μg/mLPart 1: Cohort APart 1: Cohort BPart 1: Cohort C
Cycle 1, Day 1, 0 hour n=9,11,90 ± 00 ± 00 ± 0
Cycle 1, Day 1, end-of-infusion, n=9,11,753.9 ± 29.852.9 ± 41.948.1 ± 17.7
Cycle 1, Day 1, 24 hour n=7,11,940.5 ± 26.743.0 ± 35.141.4 ± 23.4
Cycle 1, Day 1, 168 hour n=9,11,919.0 ± 49.421.7 ± 42.918.7 ± 17.3
Cycle 1, Day 1, 336 hour n=9,11,815.1 ± 28.814.7 ± 40.612.5 ± 25.5
Cycle 2, Day 1, 0 hour n=9,9,712.2 ± 36.314.5 ± 49.210.5 ± 13.0
Cycle 3, Day 1, 0 hour n=7,9,721.0 ± 38.222.5 ± 46.815.5 ± 27.2
Cycle 4, Day 1, 0 hour n=8,8,627.8 ± 31.433.0 ± 108.523.5 ± 37.2
Cycle 5, Day 1, 0 hour n=5,7,628.6 ± 31.935.5 ± 44.328.5 ± 82.0
Cycle 5, Day 1, end-of-infusion n=5,7,577.7 ± 19.799.3 ± 29.657.4 ± 51.5
Cycle 6, Day 1, 0 hour n=2,7,530.6 ± 68.837.0 ± 33.626.6 ± 31.2
Cycle 8, Day 1, 0 hour n=3,7,346.4 ± 16.245.3 ± 43.835.0 ± 52.0
Cycle 12, Day 1, 0 hour n=1,7,176.1 ± 042.9 ± 68.820.5 ± 0
Cycle 16, Day 1, 0 hour n=1,5,139.8 ± 043.4 ± 84.527.2 ± 0
SecondaryPart 2 (Double-blind, Randomized, Placebo-controlled): Serum Pembrolizumab Concentration
Time frame:
Predose (0 h) on Day 1 of Cycles 1-6, 8, 12, 16, Postdose on day 2, 8, 15 of Cycle 1, at end of treatment & then at 26 days after last dose (Cycle length =21 days)
Reported as:
Geometric mean · μg/mL
Part 2 (Double-blind, Randomized, Placebo-controlled): Serum Pembrolizumab Concentration
μg/mLPart 2: Canakinumab+Pembro+CTxPart 2: Placebo+Pembro+CTx
Cycle 1, Day 1, 0 hours n=29,280 ± 00 ± 0
Cycle 1, Day 1, end-of-infusion, n=27,2753.5 ± 55.150.9 ± 36.0
Cycle 1, Day 1, 24 hours n=29,3145.9 ± 23.643.7 ± 51.8
Cycle 1, Day 1, 168 hours n=28,2921.5 ± 30.121.4 ± 42.2
Cycle 1, Day 1, 336 hours n=23,2514.5 ± 33.814.9 ± 39.9
Cycle 2, Day 1, 0 hours n=19,2511.5 ± 46.612.9 ± 39.3
Cycle 3, Day 1, 0 hours n=12,2022.7 ± 39.820.6 ± 50.0
Cycle 4, Day 1, 0 hours n=12,2024.7 ± 42.527.2 ± 55.0
Cycle 5, Day 1, 0 hours n=15,2228.6 ± 38.626.5 ± 55.0
Cycle 5, Day 1, end-of-infusion n=18,2166.3 ± 42.670.9 ± 41.5
Cycle 6, Day 1, 0 hours n=14,1734.0 ± 69.032.2 ± 71.5
Cycle 8, Day 1, 0 hours n=16,1736.0 ± 53.230.1 ± 57.4
Cycle 12, Day 1, 0 hours n=10,947.6 ± 27.641.9 ± 44.7
Cycle 16, Day 1, 0 hours n=9,842.9 ± 39.447.0 ± 38.0
SecondaryPart 1 (Safety Run-in): Plasma Pemetrexed Concentration
Time frame:
Predose (0 h) and end of infusion on Cycle 1 and 2; 1, 4, 8 h post infusion on Cycle 1; 1, 2, 4, 8h post infusion on Cycle 2 (Cycle length =21 days)
Reported as:
Geometric mean · μg/mL
Part 1 (Safety Run-in): Plasma Pemetrexed Concentration
μg/mLPart 1: Cohort APart 1: Cohort B
Cycle 1, Day 1, Pre-infusion n=9,110 ± 0517 ± 1.4
Cycle 1, Day 1, end-of-infusion, n=9,11102000 ± 30.287800 ± 39.5
Cycle 1, Day 1, 1 hour n=9,1139000 ± 23.339000 ± 29.5
Cycle 1, Day 1, 4 hours n=9,1110300 ± 25.110300 ± 29.6
Cycle 1, Day 1, 8 hours n=9,113180 ± 38.32340 ± 58.8
Cycle 2, Day 1, Pre-infusion n=8,100 ± 00 ± 0
Cycle 2, Day 1, End-of-infusion n=9,1093300 ± 19.092600 ± 37.5
Cycle 2, Day 1, 1 hour n=9,1043600 ± 15.743500 ± 16.2
Cycle 2, Day 1, 2 hours n=9,926300 ± 19.123400 ± 13.9
Cycle 2, Day 1, 4 hours n=9,1011100 ± 25.510800 ± 34.3
Cycle 2, Day 1, 8 hours n=9,103920 ± 39.12760 ± 55.0
SecondaryPart 2 (Double-blind, Randomized, Placebo-controlled): Plasma Pemetrexed Concentration
Time frame:
Predose (0 h) and end of infusion on Cycle 1 and 2; 1, 4, 8 h post infusion on Cycle 1; 1, 2, 4, 8h post infusion on Cycle 2 (Cycle length =21 days)
Reported as:
Geometric mean · μg/mL
Part 2 (Double-blind, Randomized, Placebo-controlled): Plasma Pemetrexed Concentration
μg/mLPart 2: Canakinumab+Pembro+CTxPart 2: Placebo+Pembro+CTx
Cycle 1, Day 1, Pre-infusion n=18,180 ± 00 ± 0
Cycle 1, Day 1, end-of-infusion, n=19,2092000 ± 21.986400 ± 46.6
Cycle 1, Day 1, 1 hour n=19,2042900 ± 23.536900 ± 29.4
Cycle 1, Day 1, 4 hours n=19,2011700 ± 33.39390 ± 48.5
Cycle 2, Day 1, Pre-infusion n=15,160 ± 00 ± 0
Cycle 2, Day 1, End-of-infusion n=15,1789200 ± 40.897000 ± 32.3
Cycle 2, Day 1, 1 hour n=15,1747600 ± 30.937300 ± 20.6
Cycle 2, Day 1, 2 hours n=15,1726900 ± 28.720900 ± 41.9
Cycle 2, Day 1, 4 hours n=14,1712500 ± 38.29880 ± 55.8
SecondaryPart 1 (Safety Run-in): Plasma Cisplatin Concentration
Time frame:
Predose (0 h) and end of infusion on Cycle 1 and 2; 2, 4, 8 h post infusion on Cycle 1; 1.5, 2, 4, 8 h post infusion on Cycle 2 (Cycle length =21 days)
Reported as:
Geometric mean · μg/mL
Part 1 (Safety Run-in): Plasma Cisplatin Concentration
μg/mLPart 1: Cohort B
Cycle 1, Day 1, Pre-infusion n=110 ± 0
Cycle 1, Day 1, end-of-infusion, n=113750 ± 130.2
Cycle 1, Day 1, 2 hours n=63690 ± 248.2
Cycle 1, Day 1, 4 hours n=111930 ± 35.9
Cycle 1, Day 1, 8 hours n=111680 ± 22.4
Cycle 2, Day 1, Pre-infusion n=10235 ± 29.3
Cycle 2, Day 1, End-of-infusion n=102900 ± 45.6
Cycle 2, Day 1, 1.5 hours n=102100 ± 51.9
Cycle 2, Day 1, 2 hours n=52650 ± 20.3
Cycle 2, Day 1, 4 hours n=102070 ± 15.2
Cycle 2, Day 1, 8 hours n=101750 ± 29.9
SecondaryPart 2 (Double-blind, Randomized, Placebo-controlled): Plasma Cisplatin Concentration
Time frame:
Predose (0 h) and end of infusion on Cycle 1 and 2; 2, 4, 8 h post infusion on Cycle 1; 1.5, 2, 4, 8 h post infusion on Cycle 2 (Cycle length = 21 days)
Reported as:
Geometric mean · μg/mL
Part 2 (Double-blind, Randomized, Placebo-controlled): Plasma Cisplatin Concentration
μg/mLPart 2: Canakinumab+Pembro+CTxPart 2: Placebo+Pembro+CTx
Cycle 1, Day 1, Pre-infusion n=21,180 ± 0177 ± 47.5
Cycle 1, Day 1, end-of-infusion, n=20,183670 ± 49.63120 ± 20.9
Cycle 1, Day 1, 2 hours n=17,182280 ± 27.82180 ± 23.5
Cycle 1, Day 1, 4 hours n=17,161950 ± 11.21950 ± 17.5
Cycle 2, Day 1, Pre-infusion n=20,14288 ± 58.9296 ± 51.7
Cycle 2, Day 1, End-of-infusion n=19,133130 ± 92.02820 ± 88.2
Cycle 2, Day 1, 1.5 hours n=16,122790 ± 29.92410 ± 38.3
Cycle 2, Day 1, 2 hours n=16,122550 ± 22.72790 ± 23.9
Cycle 2, Day 1, 4 hours n=19,112340 ± 17.42340 ± 13.7
SecondaryPart 1 (Safety Run-in): Plasma Carboplatin Concentration
Time frame:
Predose (0 h), end of infusion, 1, 2, 4, 8 h post infusion on Cycles 1 and 2 (Cycle length =21 days)
Reported as:
Geometric mean · μg/mL
Part 1 (Safety Run-in): Plasma Carboplatin Concentration
μg/mLPart 1: Cohort APart 1: Cohort C
Cycle 1, Day 1, Pre-infusion n=8,90 ± 00 ± 0
Cycle 1, Day 1, End-of-infusion, n=9,917400 ± 21.921700 ± 49.8
Cycle 1, Day 1, 1 hour n=9,610400 ± 42.713300 ± 46.8
Cycle 1, Day 1, 2 hours n=9,96200 ± 34.37380 ± 23.5
Cycle 1, Day 1, 4 hours n=9,93380 ± 34.63970 ± 29.4
Cycle 1, Day 1, 8 hours n=9,61370 ± 33.61540 ± 39.6
Cycle 2, Day 1, Pre-infusion n=9,9125 ± 29.7120 ± 16.4
Cycle 2, Day 1, End-of-infusion n=9,910300 ± 441.816200 ± 32.4
Cycle 2, Day 1, 1 hour n=8,613300 ± 44.111400 ± 24.5
Cycle 2, Day 1, 2 hours n=9,98080 ± 38.56620 ± 22.5
Cycle 2, Day 1, 4 hours n=9,93590 ± 26.83680 ± 26.7
Cycle 2, Day 1, 8 hours n=9,51670 ± 29.71800 ± 34.8
SecondaryPart 2 (Double-blind, Randomized, Placebo-controlled): Plasma Carboplatin Concentration
Time frame:
Predose (0 h), end of infusion, 1, 2, 4, 8 h post infusion on Cycles 1 and 2 (Cycle length =21 days)
Reported as:
Geometric mean · μg/mL
Part 2 (Double-blind, Randomized, Placebo-controlled): Plasma Carboplatin Concentration
μg/mLPart 2: Canakinumab+Pembro+CTxPart 2: Placebo+Pembro+CTx
Cycle 1, Day 1, Pre-infusion n=17,190 ± 0668 ± 0
Cycle 1, Day 1, End-of-infusion, n=17,2313800 ± 23.416900 ± 53.6
Cycle 1, Day 1, 1 hour n=14,219980 ± 40.410600 ± 35.9
Cycle 1, Day 1, 2 hours n=17,237250 ± 25.06930 ± 36.3
Cycle 1, Day 1, 4 hours n=16,223690 ± 26.43780 ± 46.7
Cycle 2, Day 1, Pre-infusion n=11,16145 ± 37.2121 ± 8.6
Cycle 2, Day 1, End-of-infusion n=11,1814300 ± 34.813000 ± 183.5
Cycle 2, Day 1, 1 hour n=10,168880 ± 23.89490 ± 213.7
Cycle 2, Day 1, 2 hours n=12,186810 ± 35.37080 ± 26.5
Cycle 2, Day 1, 4 hours n=11,183990 ± 34.43830 ± 37.4
SecondaryPart 1 (Safety Run-in): Plasma Paclitaxel Concentration
Time frame:
Predose (0 h) and end of infusion on Cycle 1 and 2; 4, 8, 12 h post infusion on Cycle 1; 4, 6, 8, 12 h post infusion on Cycle 2 (Cycle length =21 days)
Reported as:
Geometric mean · μg/mL
Part 1 (Safety Run-in): Plasma Paclitaxel Concentration
μg/mLPart 1: Cohort C
Cycle 1, Day 1, Pre-infusion n=90 ± 0
Cycle 1, Day 1, End-of-infusion, n=94440 ± 42.5
Cycle 1, Day 1, 4 hours n=8827 ± 111.3
Cycle 1, Day 1, 8 hours n=9310 ± 83.5
Cycle 1, Day 1, 12 hours n=6130 ± 78.3
Cycle 2, Day 1, Pre-infusion n=70 ± 0
Cycle 2, Day 1, End-of-infusion n=74940 ± 35.1
Cycle 2, Day 1, 4 hours n=71090 ± 89.5
Cycle 2, Day 1, 6 hours n=8525 ± 74.1
Cycle 2, Day 1, 8 hours n=7333 ± 79.8
Cycle 2, Day 1, 12 hours n=4134 ± 89.7
SecondaryPart 2 (Double-blind, Randomized, Placebo-controlled): Plasma Paclitaxel Concentration
Time frame:
Predose (0 h) and end of infusion on Cycle 1 and 2; 4, 8, 12 h post infusion on Cycle 1; 4, 6, 8, 12 h post infusion on Cycle 2 (Cycle length =21 days)
Reported as:
Geometric mean · μg/mL
Part 2 (Double-blind, Randomized, Placebo-controlled): Plasma Paclitaxel Concentration
μg/mLPart 2: Canakinumab+Pembro+CTxPart 2: Placebo+Pembro+CTx
Cycle 1, Day 1, Pre-infusion n=12,110 ± 00 ± 0
Cycle 1, Day 1, End-of-infusion, n=13,124620 ± 97.33380 ± 116.8
Cycle 1, Day 1, 4 hours n=12,111880 ± 43.51900 ± 88.4
Cycle 1, Day 1, 24 hours n=10,8102 ± 38.9114 ± 47.4
Cycle 2, Day 1, Pre-infusion n=9,80 ± 00 ± 0
Cycle 2, Day 1, End-of-infusion n=10,93930 ± 41.83660 ± 75.1
Cycle 2, Day 1, 4 hours n=9,91450 ± 26.61180 ± 62.6
Cycle 2, Day 1, 6 hours n=7,8920 ± 45.7775 ± 55.0
Cycle 2, Day 1, 24 hours n=10,7101 ± 23.681.4 ± 27.7
SecondaryPart 2 (Double-blind, Randomized, Placebo-controlled): Plasma Nab-paclitaxel Concentration
Time frame:
Predose (0 h) and end of infusion on Cy 1 and 2, 4, 8, 12 h post infusion on Cy 1, 4, 6, 8, 12 h post infusion on Cy 2 (Cy length =21 days)
Reported as:
Geometric mean · μg/mL
Part 2 (Double-blind, Randomized, Placebo-controlled): Plasma Nab-paclitaxel Concentration
μg/mLPart 2: Canakinumab+Pembro+CTxPart 2: Placebo+Pembro+CTx
Cycle 1, Day 1, Pre-infusion n=9,130 ± 00 ± 0
Cycle 1, Day 1, End-of-infusion, n=10,152620 ± 87.52520 ± 285.4
Cycle 1, Day 1, 4 hours n=10,14112 ± 38.3117 ± 90.2
Cycle 1, Day 1, 24 hours n=4,924.2 ± 16.723.9 ± 47.8
Cycle 2, Day 1, Pre-infusion n=7,80 ± 044.6 ± 160.1
Cycle 2, Day 1, End-of-infusion n=7,81630 ± 92.13440 ± 79.1
Cycle 2, Day 1, 4 hours n=6,883.6 ± 45.596.5 ± 63.8
Cycle 2, Day 1, 6 hours n=6,875.6 ± 47.186.1 ± 55.2
Cycle 2, Day 1, 24 hours n=5,734.5 ± 107.723.6 ± 39.2
SecondaryPart 2 (Double-blind, Randomized, Placebo-controlled): Time to Definitive 10-point Deterioration (TTDD) Symptom Scores of Pain, Cough and Dyspnea Per EORTC QLQ-LC13 Questionnaire

The European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Lung Cancer 13 (EORTC QLQ-LC13) comprises both multi-item and single-item measures of lung cancer-associated symptoms (ie, coughing, dyspnea, and chest pain). Scores for each scale and single-item range from 0 to 100, with higher scores indicating higher level of symptoms. TTDD for chest pain, cough and dyspnea was defined as the time from randomization to the date of event, which was defined as at least 10 points absolute worsening from baseline of the corresponding scale score, with no later change below this threshold ie.\<10 points was observed, or if this worsening was observed at the last assessment for the subject, or death due to any cause (whichever occurred earlier). If a subject did not have an event, TTDD was censored at the last adequate assessment.

Time frame:
Up to approximately 25 months
Reported as:
Median · months
Part 2 (Double-blind, Randomized, Placebo-controlled): Time to Definitive 10-point Deterioration (TTDD) Symptom Scores of Pain, Cough and Dyspnea Per EORTC QLQ-LC13 Questionnaire
monthsPart 2: Canakinumab+Pembro+CTxPart 2: Placebo+Pembro+CTx
Chest Pain n=65,96NA (NA to NA)22.14 (18.40 to NA)
Cough n=63,94NA (NA to NA)23.06 (17.51 to NA)
Dyspnea n=111,14919.61 (13.50 to NA)11.50 (7.66 to 15.90)
Statistical analysis
  • Part 2: Canakinumab+Pembro+CTx vs Part 2: Placebo+Pembro+CTx · Log Rank · p = 0.00164 · Hazard ratio (hr): 0.62 · 95% CI 0.45 to 0.86
  • Part 2: Canakinumab+Pembro+CTx vs Part 2: Placebo+Pembro+CTx · Log Rank · p = 0.00069 · Hazard ratio (hr): 0.59 · 95% CI 0.43 to 0.82
  • Part 2: Canakinumab+Pembro+CTx vs Part 2: Placebo+Pembro+CTx · Log Rank · p = 0.00045 · Hazard ratio (hr): 0.66 · 95% CI 0.51 to 0.84
SecondaryPart 2 (Double-blind, Randomized, Placebo-controlled): Time to Definitive Deterioration in Global Health Status/Quality of Life, Shortness of Breath and Pain Per EORTC QLQ-C30 Questionnaire

The European Organization for Research and Treatment of Cancer quality of life (EORTC QLQ-C30) is a questionnaire developed to assess the health-related quality of life of cancer participants. It assesses 15 domains consisting of 5 functional domains (physical, role, emotional, cognitive, social) and 9 symptom domains (fatigue, nausea and vomiting, pain, dyspnea, insomnia, appetite loss, constipation, diarrhea, financial difficulties) and a global health status/QoL scale. All domain scores range from 0 to 100. A high score for the functional or global health status scales indicates a high level of functioning or QoL; a high score for a symptom scale indicates a high level of symptoms.

Time frame:
Up to approximately 25 months
Reported as:
Median · months
Part 2 (Double-blind, Randomized, Placebo-controlled): Time to Definitive Deterioration in Global Health Status/Quality of Life, Shortness of Breath and Pain Per EORTC QLQ-C30 Questionnaire
monthsPart 2: Canakinumab+Pembro+CTxPart 2: Placebo+Pembro+CTx
Quality of Life n=119, 12917.54 (14.06 to NA)15.90 (11.40 to 20.04)
Shortness of Breath n=83,115NA (NA to NA)19.29 (14.13 to 21.62)
Pain n=117,12220.07 (13.24 to NA)17.91 (12.65 to 22.11)
Statistical analysis
  • Part 2: Canakinumab+Pembro+CTx vs Part 2: Placebo+Pembro+CTx · Log Rank · p = 0.113 · Hazard ratio (hr): 0.86 · 95% CI 0.66 to 1.10
  • Part 2: Canakinumab+Pembro+CTx vs Part 2: Placebo+Pembro+CTx · Log Rank · p = 0.00433 · Hazard ratio (hr): 0.68 · 95% CI 0.51 to 0.91
  • Part 2: Canakinumab+Pembro+CTx vs Part 2: Placebo+Pembro+CTx · Log Rank · p = 0.294 · Hazard ratio (hr): 0.93 · 95% CI 0.72 to 1.20
SecondaryPart 2 (Double-blind, Randomized, Placebo-controlled): Change From Baseline in Score as Per the EuroQol 5 Dimension 5 Level (EQ-5D-5L) Questionnaire

The EQ-5D-5L questionnaire is a standardized measure of health status developed by the EuroQol Group in order to provide a simple, generic measure of health for clinical and economic appraisal. The EQ-5D-5L measures 5 items on mobility, self-care, usual activities, pain/discomfort, anxiety/depression, measured on 5 levels: no problems, slight problems, moderate problems, severe problems, and extreme problems. A utility index can be computed from the EQ 5D-5L descriptive system with utility scores ranging from -0.281 (worst imaginable health state) to 1 (best imaginable health state), with -0.281 representing an "unconscious" health state. A single index value is analyzed for the EQ-5D-5L score. An increase from baseline in the EQ-ED-5L utility index is indicative of an improvement.). CFB = change from baseline

Time frame:
Assessed every 3 weeks from Week 3 through Week 108, at follow-up visits 1, 2, 3, 4, and 5 (follow-up visits occurred every 26 days from week 108), and at 7 and 28 days post-disease progression, all up to a maximum of 3.5 years
Reported as:
Mean · score on a scale
Part 2 (Double-blind, Randomized, Placebo-controlled): Change From Baseline in Score as Per the EuroQol 5 Dimension 5 Level (EQ-5D-5L) Questionnaire
score on a scalePart 2: Canakinumab+Pembro+CTxPart 2: Placebo+Pembro+CTx
CFB at Week 3 n=254,2490.766 ± 0.21380.768 ± 0.2153
CFB at Week 6 n=236,2300.029 ± 0.21350.032 ± 0.2317
CFB at Week 9 n=220,2190.019 ± 0.20740.059 ± 0.2512
CFB at Week 12 n=192,2140.028 ± 0.21010.044 ± 0.2486
CFB at Week 15 n=194,1960.031 ± 0.21030.039 ± 0.2512
CFB at Week 18 n=187,1980.020 ± 0.21920.050 ± 0.2723
CFB at Week 21 n=173,1760.016 ± 0.22910.041 ± 0.2533
CFB at Week 24 n=160,1640.027 ± 0.20620.050 ± 0.2824
CFB at Week 27 n=157,1550.020 ± 0.19290.043 ± 0.2828
CFB at Week 30 n=140,1450.047 ± 0.19280.046 ± 0.2897
CFB at Week 33 n=136,1240.036 ± 0.19960.055 ± 0.2595
CFB at Week 36 n=129,1190.061 ± 0.17670.054 ± 0.2881
CFB at Week 39 n=133,1190.037 ± 0.20150.071 ± 0.2816
CFB at Week 42 n=124,1020.044 ± 0.17940.063 ± 0.2680
CFB at Week 45 n=124,1000.035 ± 0.19610.065 ± 0.2584
CFB at Week 48 n=111,1050.056 ± 0.18700.081 ± 0.2603
CFB at Week 51 n=103,950.026 ± 0.16820.067 ± 0.2840
CFB at Week 54 n=104,900.043 ± 0.17030.054 ± 0.3086
CFB at Week 57 n=109,860.037 ± 0.20120.049 ± 0.2979
CFB at Week 60 n=94,840.022 ± 0.21190.069 ± 0.2819
CFB at Week 63 n=94,760.034 ± 0.20560.082 ± 0.3043
CFB at Week 66 n=89,790.026 ± 0.20110.071 ± 0.2996
CFB at Week 69 n=93,740.052 ± 0.18050.061 ± 0.2964
CFB at Week 72 n=87,700.032 ± 0.18900.057 ± 0.3176
CFB at Week 75 n=78,690.021 ± 0.17970.080 ± 0.2966
CFB at Week 78 n=77,640.027 ± 0.19790.056 ± 0.3064
CFB at Week 81 n=73,610.035 ± 0.18440.042 ± 0.3529
CFB at Week 84 n=63,590.056 ± 0.19230.064 ± 0.3125
CFB at Week 87 n=44,430.049 ± 0.18940.057 ± 0.3474
CFB at Week 90 n=37,300.050 ± 0.16100.039 ± 0.3502
CFB at Week 93 n=24,240.082 ± 0.18610.074 ± 0.4112
CFB at Week 96 n=19,140.071 ± 0.16040.018 ± 0.3986
CFB at Week 99 n=15,90.116 ± 0.17550.099 ± 0.4211
CFB at Week 102 n=8,40.144 ± 0.1730-0.002 ± 0.4701
CFB at Week 105 n=5,20.073 ± 0.1476-0.232 ± 0.2489
CFB at Week 108 n=1,00.121 ± NA—
CFB at Efficacy Follow-up 1 n=9,10-0.085 ± 0.2034-0.153 ± 0.4494
CFB at Efficacy Follow-up 2 n=2,4-0.031 ± 0.6781-0.195 ± 0.4873
CFB at Efficacy Follow-up 3 n=2,10.406 ± 0.43490.163 ± NA
CFB at Efficacy Follow-up 4 n=0,1—0.292 ± NA
CFB at CFB at Efficacy Follow-up 5 n=1,0-0.144 ± NA—
CFB at Post-disease Progression (7 days) n=32,24-0.126 ± 0.2115-0.048 ± 0.2844
CFB at Post-disease Progression (28 days) n=30,30-0.031 ± 0.2191-0.010 ± 0.2854
SecondaryPart 2 (Double-blind, Randomized, Placebo-controlled): Change From Baseline in Score as Per the EuroQol 5 Dimension 5 Level (EQ-5D-5L) Questionnaire - Visual Analog Scale (VAS)

The EQ-5D-5L is a standardized questionnaire used to assess health-related quality of life, and it includes a Visual Analog Scale (VAS). The VAS score is obtained by asking the individual to rate their current health status on a scale from 0 to 100, where 0 represents the worst possible health state and 100 represents the best possible health state. The change from baseline in EQ-5D-5L VAS score was calculated. A positive change from baseline indicates improvement in the health status. CFB = change from baseline

Time frame:
Assessed every 3 weeks from Week 3 through Week 108, at follow-up visits 1, 2, 3, 4, and 5 (follow-up visits occurred every 26 days from week 108), and at 7 and 28 days post-disease progression, all up to a maximum of 3.5 years
Reported as:
Mean · score on a scale
Part 2 (Double-blind, Randomized, Placebo-controlled): Change From Baseline in Score as Per the EuroQol 5 Dimension 5 Level (EQ-5D-5L) Questionnaire - Visual Analog Scale (VAS)
score on a scalePart 2: Canakinumab+Pembro+CTxPart 2: Placebo+Pembro+CTx
CFB at Week 3 n=254,2490.1 ± 16.513.2 ± 18.35
CFB at Week 6 n=236,2301.3 ± 16.042.6 ± 18.18
CFB at Week 9 n=220,2191.4 ± 15.232.5 ± 17.22
CFB at Week 12 n=192,2140.0 ± 18.283.3 ± 16.78
CFB at Week 15 n=194,1960.8 ± 17.412.7 ± 18.72
CFB at Week 18 n=187,1980.4 ± 16.764.4 ± 17.66
CFB at Week 21 n=173,1760.0 ± 16.922.3 ± 18.49
CFB at Week 24 n=161,1640.4 ± 17.152.3 ± 19.40
CFB at Week 27 n=158,1550.1 ± 16.382.8 ± 17.65
CFB at Week 30 n=141,1450.7 ± 16.452.5 ± 19.08
CFB at Week 33 n=137,1240.8 ± 14.504.1 ± 17.00
CFB at Week 36 n=130,1192.3 ± 14.794.8 ± 16.73
CFB at Week 39 n=134,1192.2 ± 15.254.6 ± 16.68
CFB at Week 42 n=125,1031.5 ± 15.154.7 ± 17.17
CFB at Week 45 n=125,1001.2 ± 16.155.0 ± 14.75
CFB at Week 48 n=112,1050.9 ± 16.623.9 ± 17.29
CFB at Week 51 n=104,950.8 ± 15.942.8 ± 17.07
CFB at Week 54 n=104,900.5 ± 14.434.2 ± 17.50
CFB at Week 57 n=110,860.2 ± 16.632.1 ± 19.12
CFB at Week 60 n=95,84-1.4 ± 16.492.8 ± 17.46
CFB at Week 63 n=95,760.0 ± 17.353.0 ± 20.02
CFB at Week 66 n=90,791.0 ± 15.494.6 ± 19.36
CFB at Week 69 n=94,741.9 ± 15.485.6 ± 18.30
CFB at Week 72 n=88,700.4 ± 15.303.6 ± 19.21
CFB at Week 75 n=79,69-0.1 ± 15.965.1 ± 19.12
CFB at Week 78 n=78,640.1 ± 17.655.1 ± 19.34
CFB at Week 81 n=73,610.2 ± 16.103.1 ± 19.38
CFB at Week 84 n=64,592.0 ± 16.332.0 ± 19.05
CFB at Week 87 n=44,430.6 ± 17.071.7 ± 18.35
CFB at Week 90 n=37,30-1.9 ± 17.042.6 ± 18.13
CFB at Week 93 n=24,241.9 ± 16.060.7 ± 16.75
CFB at Week 96 n=19,142.9 ± 15.014.8 ± 16.28
CFB at Week 99 n=15,9-1.2 ± 12.095.9 ± 19.51
CFB at Week 102 n=8,45.3 ± 14.980.5 ± 21.63
CFB at Week 105 n=5,27.2 ± 19.49-15.5 ± 7.78
CFB at Week 108 n=1,03.0 ± NA—
CFB at Efficacy Follow-up 1 n=9,10-1.6 ± 17.67-9.8 ± 27.85
CFB at Efficacy Follow-up 2 n=2,48.5 ± 9.19-5.3 ± 17.23
CFB at Efficacy Follow-up 3 n=2,112.5 ± 19.095.0 ± NA
CFB at Efficacy Follow-up 4 n=0,1—21.0 ± NA
CFB at CFB at Efficacy Follow-up 5 n=1,00.0 ± NA—
CFB at Post-disease Progression (7 days) n=32,24-10.4 ± 18.36-4.6 ± 21.40
CFB at Post-disease Progression (28 days) n=30,30-0.1 ± 19.14-1.4 ± 22.92
Post-hocAll Collected Deaths

On-treatment deaths due to any cause were collected from first dose of study medication to 30 days after the last dose of study treatment. Post-treatment survival follow-up deaths were collected from Day 31 after last dose of study medication to the data cut-off date.

Time frame:
On-treatment deaths: Up to approximately 29 months in Part 1 or approximately 25 months in Part 2. Post-treatment survival follow-up deaths: Up to an additional 130 days.
Reported as:
Count of participants · Participants
All Collected Deaths
ParticipantsPart 1: Cohort APart 1: Cohort BPart 1: Cohort CPart 2: Canakinumab+Pembro+CTxPart 2: Placebo+Pembro+CTx
Pre-treatment deaths00000
On-treatment deaths41497102
Post-treatment survival follow-up deaths2535057
All deaths667147159

Adverse events

Collected over Adverse events (AEs) were reported from first dose of study treatment until end of study treatment plus 30 days post treatment, up to a maximum duration of approximately 32 months.. Non-serious events are listed at a 5% frequency threshold.

Adverse event summary by group
GroupDeathsSeriousOther
Part 1: Cohort A (On-treatment)4/10 (40%)4/10 (40%)10/10 (100%)
Part 1: Cohort B (On-treatment)1/11 (9.1%)3/11 (27.3%)11/11 (100%)
Part 1: Cohort C (On-treatment)4/9 (44.4%)4/9 (44.4%)9/9 (100%)
Part 2: Canakinumab+Pembro+CTx (On-treatment)97/320 (30.3%)174/320 (54.4%)309/320 (96.6%)
Part 2: Placebo+Pembro+CTx (On-treatment)102/323 (31.6%)167/322 (51.9%)310/322 (96.3%)
Part 1: Cohort A (Post-treatment Survival Follow-up)2/6 (33.3%)——
Part 1: Cohort B (Post-treatment Survival Follow-up)5/10 (50%)——
Part 1: Cohort C (Post-treatment Survival Follow-up)3/5 (60%)——
Part 2: Canakinumab+Pembro+CTx (Post-treatment Survival Follow-up)50/223 (22.4%)——
Part 2: Placebo+Pembro+CTx (Post-treatment Survival Follow-up)57/220 (25.9%)——
Most frequent serious events
Showing 10 of 258
Most frequent serious events
EventPart 1: Cohort A (On-treatment)Part 1: Cohort B (On-treatment)Part 1: Cohort C (On-treatment)Part 2: Canakinumab+Pembro+CTx (On-treatment)Part 2: Placebo+Pembro+CTx (On-treatment)Part 1: Cohort A (Post-treatment Survival Follow-up)Part 1: Cohort B (Post-treatment Survival Follow-up)Part 1: Cohort C (Post-treatment Survival Follow-up)Part 2: Canakinumab+Pembro+CTx (Post-treatment Survival Follow-up)Part 2: Placebo+Pembro+CTx (Post-treatment Survival Follow-up)
NauseaGastrointestinal disorders2/100/110/92/3203/322—————
Atrial fibrillationCardiac disorders0/100/111/90/3203/322—————
Atrial flutterCardiac disorders0/100/111/90/3201/322—————
DiarrhoeaGastrointestinal disorders0/100/111/97/32010/322—————
PyrexiaGeneral disorders0/100/111/912/3208/322—————
HepatitisHepatobiliary disorders0/100/111/91/3201/322—————
Malignant neoplasm progressionNeoplasms benign, malignant and unspecified (incl cysts and polyps)0/100/111/90/3200/322—————
PolyneuropathyNervous system disorders0/100/111/91/3200/322—————
DyspnoeaRespiratory, thoracic and mediastinal disorders1/100/111/916/32013/322—————
Pulmonary embolismRespiratory, thoracic and mediastinal disorders0/100/111/98/3206/322—————
Most frequent other events
Showing 10 of 160
Most frequent other events
EventPart 1: Cohort A (On-treatment)Part 1: Cohort B (On-treatment)Part 1: Cohort C (On-treatment)Part 2: Canakinumab+Pembro+CTx (On-treatment)Part 2: Placebo+Pembro+CTx (On-treatment)Part 1: Cohort A (Post-treatment Survival Follow-up)Part 1: Cohort B (Post-treatment Survival Follow-up)Part 1: Cohort C (Post-treatment Survival Follow-up)Part 2: Canakinumab+Pembro+CTx (Post-treatment Survival Follow-up)Part 2: Placebo+Pembro+CTx (Post-treatment Survival Follow-up)
ConstipationGastrointestinal disorders6/103/112/984/32081/322—————
NauseaGastrointestinal disorders3/105/115/9115/320124/322—————
AnaemiaBlood and lymphatic system disorders3/103/113/9153/320148/322—————
VomitingGastrointestinal disorders3/105/112/954/32051/322—————
FatigueGeneral disorders2/105/113/959/32068/322—————
Decreased appetiteMetabolism and nutrition disorders3/105/111/991/32079/322—————
RashSkin and subcutaneous tissue disorders0/105/112/951/32061/322—————
Neuropathy peripheralNervous system disorders0/100/114/922/32018/322—————
CoughRespiratory, thoracic and mediastinal disorders4/103/110/954/32051/322—————
NeutropeniaBlood and lymphatic system disorders1/101/111/9124/32078/322—————

Baseline characteristics

Age, Continuous
Age, Continuous(years)Part 1: Cohort APart 1: Cohort BPart 1: Cohort CPart 2: Canakinumab+Pembro+CTxPart 2: Placebo+Pembro+CTxTotal
Mean64.5 ± 6.5757.9 ± 13.0363.1 ± 7.1861.7 ± 9.6562.7 ± 8.7462.2 ± 9.23
Sex: Female, Male
Sex: Female, Male(Participants)Part 1: Cohort APart 1: Cohort BPart 1: Cohort CPart 2: Canakinumab+Pembro+CTxPart 2: Placebo+Pembro+CTxTotal
Female0539391192
Male1066227232481
Race/Ethnicity, Customized
Race/Ethnicity, Customized(Participants)Part 1: Cohort APart 1: Cohort BPart 1: Cohort CPart 2: Canakinumab+Pembro+CTxPart 2: Placebo+Pembro+CTxTotal
White537185180380
Asian552115117244
Black or African American000145
Multiple000022
Missing030192042
08

Study locations

152 sites
  • Pacific Shores Medical Group
    Long Beach, California 90813, United States
  • USC Kenneth Norris Comprehensive Cancer Center
    Los Angeles, California 90033, United States
  • AdventHealth
    Orlando, Florida 32804, United States
  • Dana Farber Cancer Institute
    Boston, Massachusetts 02215, United States
  • Novartis Investigative Site
    Caba, Buenos Aires C1426ANZ, Argentina
  • Novartis Investigative Site
    Caba, C1431FWO, Argentina
  • Novartis Investigative Site
    Westmead, New South Wales 2145, Australia
  • Novartis Investigative Site
    Wooloongabba, Queensland 4102, Australia
  • Novartis Investigative Site
    Melbourne, Victoria 3000, Australia
  • Novartis Investigative Site
    Murdoch, Western Australia 6150, Australia
  • Novartis Investigative Site
    Linz, Upper Austria 4020, Austria
  • Novartis Investigative Site
    Salzburg, 5020, Austria
  • Novartis Investigative Site
    Barretos, São Paulo 14784 400, Brazil
  • Novartis Investigative Site
    São Paulo, São Paulo 01246 000, Brazil
  • Novartis Investigative Site
    São Paulo, São Paulo 04014-002, Brazil
  • Novartis Investigative Site
    Edmonton, Alberta T6G 1Z2, Canada
  • Novartis Investigative Site
    Brampton, Ontario L6R 3J7, Canada
  • Novartis Investigative Site
    Toronto, Ontario M5G 2M9, Canada
  • Novartis Investigative Site
    Temuco, Araucania 4810469, Chile
  • Novartis Investigative Site
    Santiago, 8420383, Chile
  • Novartis Investigative Site
    Harbin, Heilongjiang 150081, China
  • Novartis Investigative Site
    Wuhan, Hubei 430022, China
  • Novartis Investigative Site
    Wuhan, Hubei 430030, China
  • Novartis Investigative Site
    Changsha, Hunan 410013, China
  • Novartis Investigative Site
    Changchun, Jilin 130012, China
  • Novartis Investigative Site
    Xi’an, Shanxi 710038, China
  • Novartis Investigative Site
    Hangzhou, Zhejiang 310022, China
  • Novartis Investigative Site
    Beijing, 100036, China
  • Novartis Investigative Site
    Valledupar, Cesar Department 200001, Colombia
  • Novartis Investigative Site
    Ostrava, Vitkovice 703 84, Czechia
  • Novartis Investigative Site
    Brno, 625 00, Czechia
  • Novartis Investigative Site
    Brno, 656 53, Czechia
  • Novartis Investigative Site
    Prague, 128 08, Czechia
  • Novartis Investigative Site
    Herning, 7400, Denmark
  • Novartis Investigative Site
    Oulu, FIN-90220, Finland
  • Novartis Investigative Site
    Marseille, Bouches Du Rhone 13915, France
  • Novartis Investigative Site
    Lyon, 69373, France
  • Novartis Investigative Site
    Montpellier, 34070, France
  • Novartis Investigative Site
    Nantes, 44093, France
  • Novartis Investigative Site
    Paris, 75231, France
  • Novartis Investigative Site
    Munich, Bavaria 81377, Germany
  • Novartis Investigative Site
    Göttingen, Lower Saxony 37075, Germany
  • Novartis Investigative Site
    Cologne, North Rhine-Westphalia 50937, Germany
  • Novartis Investigative Site
    Cologne, North Rhine-Westphalia 51109, Germany
  • Novartis Investigative Site
    Dresden, Saxony 01307, Germany
  • Novartis Investigative Site
    Leipzig, Saxony 04347, Germany
  • Novartis Investigative Site
    Halle, Saxony-Anhalt 06120, Germany
  • Novartis Investigative Site
    Berlin, 13125, Germany
  • Novartis Investigative Site
    Essen, 45147, Germany
  • Novartis Investigative Site
    Georgsmarienhütte, 49124, Germany
  • Novartis Investigative Site
    Gerlingen, 70839, Germany
  • Novartis Investigative Site
    Heidelberg, 69120, Germany
  • Novartis Investigative Site
    Athens, GR 115 27, Greece
  • Novartis Investigative Site
    Athens, 185 47, Greece
  • Novartis Investigative Site
    Kowloon, 999077, Hong Kong
  • Novartis Investigative Site
    Veszprém, 8200, Hungary
  • Novartis Investigative Site
    Reykjavik, 101, Iceland
  • Novartis Investigative Site
    Hyderabad, Andhra Pradesh 500034, India
  • Novartis Investigative Site
    Gurgaon, Haryana 122 001, India
  • Novartis Investigative Site
    Pune, Maharashtra 411013, India
  • Novartis Investigative Site
    Jaipur, Rajasthan 302017, India
  • Novartis Investigative Site
    Hyderabad, Telangana 500082, India
  • Novartis Investigative Site
    Kolkata, West Bengal 700160, India
  • Novartis Investigative Site
    Avellino, AV 83100, Italy
  • Novartis Investigative Site
    Genova, GE 16132, Italy
  • Novartis Investigative Site
    Milan, MI 20132, Italy
  • Novartis Investigative Site
    Milan, MI 20133, Italy
  • Novartis Investigative Site
    Rozzano, MI 20089, Italy
  • Novartis Investigative Site
    Modena, MO 41124, Italy
  • Novartis Investigative Site
    Padova, PD 35128, Italy
  • Novartis Investigative Site
    Perugia, PG 06129, Italy
  • Novartis Investigative Site
    Parma, PR 43126, Italy
  • Novartis Investigative Site
    Orbassano, TO 10043, Italy
  • Novartis Investigative Site
    Milan, 20141, Italy
  • Novartis Investigative Site
    Nagoya, Aichi-ken 4648681, Japan
  • Novartis Investigative Site
    Sapporo, Hokkaido 060-8648, Japan
  • Novartis Investigative Site
    Himeji, Hyōgo 670-8520, Japan
  • Novartis Investigative Site
    Yokohama, Kanagawa 241-8515, Japan
  • Novartis Investigative Site
    Sakai, Osaka 591-8555, Japan
  • Novartis Investigative Site
    Sunto Gun, Shizuoka 4118777, Japan
  • Novartis Investigative Site
    Chuo Ku, Tokyo 1040045, Japan
  • Novartis Investigative Site
    Ube, Yamaguchi 755-0241, Japan
  • Novartis Investigative Site
    Osaka, 5458586, Japan
  • Novartis Investigative Site
    Beirut, 1100 2070, Lebanon
  • Novartis Investigative Site
    Saida, 652, Lebanon
  • Novartis Investigative Site
    Kuala Lumpur, Kuala Lumpur 50586, Malaysia
  • Novartis Investigative Site
    Kuantan, Pahang 25100, Malaysia
  • Novartis Investigative Site
    Kuching, Sarawak 93586, Malaysia
  • Novartis Investigative Site
    Kuala Lumpur, 59100, Malaysia
  • Novartis Investigative Site
    Groningen, 9713 GZ, Netherlands
  • Novartis Investigative Site
    Groningen, 9728 NZ, Netherlands
  • Novartis Investigative Site
    Drammen, 3004, Norway
  • Novartis Investigative Site
    City of Taguig, National Capital Region 1634, Philippines
  • Novartis Investigative Site
    Makati City, 1229, Philippines
  • Novartis Investigative Site
    Quezon, 1102, Philippines
  • Novartis Investigative Site
    San Juan City, 1502, Philippines
  • Novartis Investigative Site
    Gliwice, 44 101, Poland
  • Novartis Investigative Site
    Poznan, 60 569, Poland
  • Novartis Investigative Site
    Tomaszw Mazowiecki, 97-200, Poland
  • Novartis Investigative Site
    Lisbon, 1769 001, Portugal

Showing the first 100 of 152 sites across 41 countries. Choose a country and city above to see the rest.

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References and documents

Publications

  • Tan DSW, Felip E, de Castro G, Solomon BJ, Greystoke A, Cho BC, Cobo M, Kim TM, Ganguly S, Carcereny E, Paz-Ares L, Bennouna J, Garassino MC, Schenker M, Kim SW, Brase JC, Bury-Maynard D, Passos VQ, Deudon S, Dharan B, Song Y, Caparica R, Johnson BE. Canakinumab Versus Placebo in Combination With First-Line Pembrolizumab Plus Chemotherapy for Advanced Non-Small-Cell Lung Cancer: Results From the CANOPY-1 Trial. J Clin Oncol. 2024 Jan 10;42(2):192-204. doi: 10.1200/JCO.23.00980. Epub 2023 Dec 1. PubMed 38039427 ↗

Study documents

PDFs hosted by the registry, ClinicalTrials.gov.

Individual participant data

Plan to share: Yes — Novartis is committed to sharing with qualified external researchers, access to patient-level data and supporting clinical documents from eligible studies. These requests are reviewed and approved by an independent expert panel on the basis of scientific merit. All data provided is anonymized to respect the privacy of patients who have participated in the trial in line with applicable laws and regulations. This trial data is currently available according to the process described on www.clinicalstudydatarequest.com.

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Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reached

Ran from Dec 2018 to primary completion in Aug 2021, 31 months.

Results were first posted in Oct 2024, 3 years 1 month after primary completion. A results delay was requested in Jul 2022.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 6, 2018
First posted
Aug 15, 2018
StartActual
Dec 21, 2018
Primary completionActual
Aug 9, 2021
CompletionActual
Jan 26, 2026
Results delay requested
Jul 11, 2022
Results first posted
Oct 8, 2024
Last update
Jun 17, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Jun 17, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT03631199
Responsible party
Sponsor
First posted
Aug 15, 2018
Start date
Dec 21, 2018
Primary completion
Aug 9, 2021
Completion
Jan 26, 2026
Results posted
Oct 8, 2024
Last update
Jun 17, 2026

Study contacts

Novartis Pharmaceuticals
study director · Novartis Pharmaceuticals

Oversight

Data monitoring committee
Yes
FDA-regulated drug
Yes
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Jun 2026. You cannot join it, but the record below documents what was studied.

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Discussion

Questions and observations about this study, from anyone following it. Not medical advice, and not a channel to the study team — their contact details are on the registry record.

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Nothing here yet. If you are running this trial, taking part in it, or weighing whether to, this is the place to say so.

Studies of the drug tested here: Canakinumab

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